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2007 Registration

 

 

First Name; Last name

 

 

 

AAU Number

 

 

 

Home Phone

 

 

 

Your cell phone

 

 

 

Address; City; State; zip

 

 

 

Player’s e-address

 

 

 

Parents’ e-address

 

 

 

Birthday

 

 

 

Grade as of Sept 2007

 

 

 

School

 

 

 

High School Coach

 

 

 

Parent_1

 

 

 

Parent_2

 

 

 

Height

 

 

 

Size of uniform top; bottom

 

 

 

Preferred Numbers

 

 

 

 

 

 

 

PARENT OR GUARDIAN APPROVAL TO PLAY

 

 

I/We, hereby give my/our approval to his/her participation in any and all Orinda Magic activities during the current season. I/We assume all risks and hazards incidental to such participation including transportation to and from the activities, and I/We do hereby waive, release, absolve, indemnify and agree to hold harmless Orinda Magic Basketball, the Pacific Region of the Amateur Athletic Union, all national affiliations, the organizers, sponsors, supervisors, participants and persons transporting my/our child to or from activities, or for any claim arising out of an injury to my/our child. I/We hereby agree to indemnify and hold harmless Orinda Magic Basketball and all of its officers, directors, managers, coaches and participants from any and all liability for injuries or otherwise to my/our child. I/We will furnish a certified birth certificate and AAU membership number of the named candidate upon request of AAU Officials. I/We hereby give permission to administer emergency medical care to my/our child.

 

 

Signature of parents/guardian, and date